Entity Name: | DOCTORS FAMILY MEDICAL CENTER, INC., |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 24 Feb 1997 (28 years ago) |
Date of dissolution: | 16 Oct 1998 (26 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 16 Oct 1998 (26 years ago) |
Document Number: | P97000017184 |
Address: | 8746 N.W. 149TH TERRACE, MIAMI, FL, 33066 |
Mail Address: | 8746 N.W. 149TH TERRACE, MIAMI, FL, 33066 |
ZIP code: | 33066 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1043349715 | 2007-03-05 | 2020-08-22 | 5535 MEMORIAL HWY, TAMPA, FL, 336347370, US | 5535 MEMORIAL HWY, TAMPA, FL, 336347370, US | |||||||||||||||
|
Phone | +1 813-901-0705 |
Fax | 8139010566 |
Authorized person
Name | MR. KEVIN LAMAR GREEN |
Role | DIRECTOR OF CREDENTIALING |
Phone | 8139010705 |
Taxonomy
Taxonomy Code | 261Q00000X - Clinic/Center |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GARCIA EDDY | Agent | 8746 N.W. 149TH TERRACE, MIAMI, FL, 33066 |
Name | Role | Address |
---|---|---|
GARCIA EDDY | Director | 8746 N.W. 149TH TERRACE, MIAMI, FL, 33066 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 1998-10-16 | No data | No data |
Name | Date |
---|---|
Domestic Profit Articles | 1997-02-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State